Amniotic fluid grAM stain and leukocyte count in the prediction of intrauterine infection in preterm prelabour amniorrhexis
. Foetal Diag Therapy 1996;11(1):1-5.
Clinical data included gender, birth weight, GA, Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPEII) regarding the first 12 hours of life, the type of delivery, and antenatal factors such as the presence of amniorrhexis
, preeclampsia, steroid use, and/or chorioamnionitis.
The maternal variables analyzed included premature amniorrhexis
(>18 h), pregnancy-related arterial hypertension, and prenatal use of steroids (any dose).
Several studies found that the majority of women managed expectantly began spontaneous labor within 24 to 48 hours following prelabor amniorrhexis
Although having satisfactory evolution, there is impairment of maternal and fetal prognosis due to clinical complications like preeclampsia, chronic hypertension, anemia, urinary tract infection, early amniorrhexis
, preterm labor, and intrauterine growth restriction (ARAUJO et al, 2006; BRUNO; BARROS, 1988; MCKAY; JOSEPHSON, 2005; MCKAY; JOSEPHSON, 2008).